Comparing Dopamine and Norepinephrine for Low Blood Pressure in Very Preterm Infants with Sepsis
Official title: Dopamine vs. Norepinephrine for Hypotension in Very Preterm Infants With Late-onset Sepsis: An International Comparative Effectiveness Research Project
Run by Mount Sinai Hospital, Canada · NCT05347238 · Data updated 2026-11-12
This study is testing whether Dopamine or Norepinephrine works better to help very preterm infants with low blood pressure caused by sepsis.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 21 Weeks to 32 Weeks |
| Sex | All |
| Enrollment | 550 (estimated) |
| Sponsor | Mount Sinai Hospital, Canada Academic / other |
| Locations | 22 sites (Phoenix, Arizona and 21 other locations) |
| Status | Recruiting |
| Started | February 6, 2023 |
| Main results expected | June 30, 2027 |
| Study ends | March 31, 2028 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT05347238 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are very preterm infants born at or before 32 weeks gestational age who are more than 48 hours old and receiving Dopamine or Norepinephrine for suspected late-onset sepsis.
✕Probably not a fit
Patients with known chromosomal or genetic anomalies or those receiving other vasopressor therapies will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to evaluate the effectiveness of Dopamine versus Norepinephrine in treating fluid-unresponsive hypotension in very preterm infants suspected of having late-onset sepsis. Utilizing real-world data from the Canadian Neonatal Network, the study will analyze treatment outcomes from a large patient registry across multiple hospitals. By standardizing treatment strategies and employing a comparative effectiveness research framework, the study seeks to provide insights into the relative safety and efficacy of these commonly used medications in a vulnerable population.
Why it matters
Potential benefit: If successful, this study could improve treatment protocols for very preterm infants with hypotension, potentially reducing mortality rates.
How similar studies have gone: While there is limited evidence specifically for this population, comparative effectiveness research has shown promise in other settings, suggesting potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * ≤32 weeks gestational age and \> 48 hours of life * Receiving primary vasopressor therapy with Dopamine or Norepinephrine in the context of suspected late-onset sepsis or necrotizing enterocolitis with systemic hypotension (defined as: culture positive or negative bloodstream infection) Exclusion Criteria: * Known chromosomal or genetic anomalies * Receiving primary therapy with agents other than Dopamine or Norepinephrine
Where it's running
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Dayton Children's Hospital
Dayton, Ohio, United States Recruiting -
Methodist Healthcare
San Antonio, Texas, United States Recruiting -
Foothill's Medical Centre
Calgary, Alberta, Canada Recruiting -
BC Women's Hospital
Vancouver, British Columbia, Canada Recruiting -
Victoria General Hospital
Victoria, British Columbia, Canada Recruiting -
Winnipeg Health Sciences Centre
Winnipeg, Manitoba, Canada Recruiting
Show 16 more locations
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IWK Health Centre
Halifax, Nova Scotia, Canada Recruiting -
McMaster Children's Hospital
Hamilton, Ontario, Canada Recruiting -
London Health Sciences Centre
London, Ontario, Canada Recruiting -
Children's Hospital of Eastern Ontario
Ottawa, Ontario, Canada Recruiting -
Hospital for Sick Children
Toronto, Ontario, Canada Recruiting -
Mount Sinai Hospital
Toronto, Ontario, Canada Recruiting -
Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada Recruiting -
Windsor Regional Hospital
Windsor, Ontario, Canada Recruiting -
CHU Sainte- Justine
Montreal, Quebec, Canada Recruiting -
Jewish General Hospital
Montreal, Quebec, Canada Recruiting -
Montreal Children's Hospital
Montreal, Quebec, Canada Recruiting -
University Cork College
Cork, Ireland Recruiting -
Shamir Medical Center
Be’er Ya‘aqov, Israel Recruiting -
La Paz University Hospital
Madrid, Spain Recruiting -
Banner-University Medical Center Phoenix
Phoenix, Arizona, United States Not yet recruiting -
St.Boniface Hospital
Winnipeg, Manitoba, Canada Not yet recruiting
Study contacts
- Principal investigator: Amish Jain, MBBS, MRCPCH, PhD — Mount Sinai Hospital, Canada
- Study coordinator: Amish Jain, MBBS, MRCPCH, PhD
- Email: amish.jain@sinaihealth.ca
- Phone: 416-586-4800
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
MDW as a new marker for late-onset sepsis in preterm newborns
Researchers are testing whether monocyte distribution width (MDW) can help detect late-onset neonatal sepsis in preterm babies.
-
High-energy DHA/ARA-enriched human milk in the first 2 weeks to lower lung problems in extremely preterm babies
This trial tests whether giving DHA/ARA-enriched, fortified human milk in the first 14 days after birth helps extremely preterm infants breathe easier and have better lung function.
-
Adjusting ventilator PEEP to improve lung compliance and heart function in preterm infants
We will try changing the ventilator's PEEP settings in babies born before 34 weeks who need breathing support to see if the PEEP that gives the best lung compliance improves heart output and oxygen levels.
-
Crawling intervention for very premature infants at risk for developmental delays
This study is testing a new crawling method using a mini skateboard to see if it helps very premature infants improve their movement and brain development.
-
Amniotic fluid and the extremely preterm baby's gut
We will see if amniotic fluid from extremely preterm births (24+0 to 27+6 weeks) shows changes that relate to gut problems such as necrotizing enterocolitis or sepsis in very preterm infants.
-
Reducing vancomycin use in newborn intensive care
This trial tests whether giving outside support to Level III NICUs helps staff follow vancomycin-reduction practices for newborns at risk of late-onset sepsis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.